FRED DE SAM LAZARO, correspondent: In recent years, thousands of rural communities in Senegal have held extraordinary public rallies they call “declarations,” and they’ve declared an end to a deeply rooted practice, one rarely discussed in public, one commonly known as female circumcision.

MOLLY MELCHING: Never in my wildest dreams could I have imagined that I would be sitting here years later, saying that 4,792 communities in Senegal had abandoned. In the beginning it was just unthought of, unbelievable, because it was so taboo.

DE SAM LAZARO: Molly Melching founded a group called Tostan—“breakthrough” in the local Wolof language—in the early ’90s. She had modest goals: to educate people about health and human rights, especially in rural areas and in local languages. The Illinois native is fluent in the ways of Senegal but she keeps a low profile in the work of Tostan.

Tostan’s work often begins with an ice-breaker, like an old movie. Many in the audience have never watched a film. To overcome the language barrier, the selection is a Buster Keaton silent movie classic from 1923, and it’s a hit. A more serious film followed, on vegetable gardening. It’s all part of seminars on nutrition, health, basic human rights, and other issues—in groups, songs, dances, and drama.

Skit: She needs to be cut. All girls need that.

DE SAM LAZARO: It’s proven to be one of the most promising attempts in history to wipe out what Melching calls female genital cutting [FGC], a practice that dates back 2000 years. Each year, the World Health Organization says up to 3 million girls in Africa are subjected to genital mutilation, and up to 140 million women live with its consequences.

Skit: You can’t have a recognized marriage if she is not cut.

DE SAM LAZARO: That cut is a painful rite of passage for girls across a wide swath of predominantly Islamic African and Middle Eastern countries. However, the practice goes back hundreds of years before Islam or Christianity and is also practiced in both faiths and religions native to this region. It’s thought to have originated in the harems of ancient rulers as a means of controlling women’s fidelity, or as a sign of chastity among those who aspired to be consorts.

MELCHING: Those who were in the rest of society could move up, and you could marry someone who was more prestigious or had more money, more status, if you underwent this practice, because it was a sign of good reputation, and as the years went on, I mean 2,200 years, it became very much a part of what was considered criteria for good marriage.

DE SAM LAZARO: Melching came to this West African nation as a student in the 1970s and later as a Peace Corps volunteer. She stayed on to work on improving health education, which she found sorely lacking.

MELCHING: When you see a friend that you’ve known for several months and you’ve gone to her house for lunch, and then she tells you her child has some problem, that it’s someone who has cast an evil spell on the child, the baby, and that she’s going to take them to a religious leader to get the spell taken off, and you don’t know what to say, and it turns out the baby was dehydrated.

DE SAM LAZARO: But from the health education, women began to understand infection, and Melching says they began to connect the dots.

MELCHING: So suddenly as they started learning germ transmission and the consequences of FGC and how these infections occur and why they had more problems in childbirth than other women who had not been cut, they started saying wait a minute.

Seminar: People used to be afraid to talk about this before. Not anymore.

DE SAM LAZARO: But how did women in conservative, patriarchal societies become able to speak out, especially on a sensitive sexual topic? Melching says it’s because Tostan involves men and religious leaders who’ve confirmed that cutting is not required.

MELCHING: We share our modules with the religious leaders so that they see that everything that we do is for the well-being of the community, the health, and all these things are things that Islam espouses, and so they’re very happy in general, but first of all they’re happy because we start with them. We respect them.

DE SAM LAZARO: And that respect also carries over in the group’s message on genital cutting.

MELCHING: Tostan found that using approaches that shame or blame people really was just the opposite of what would work in changing social norms. When you say to someone, we know you love your daughter and you’re doing things because you love your daughter, but let’s look at this and let’s try to understand together exactly what are the consequences of this practice. But you are the ones who will have to make the decision. Then suddenly people are willing to listen. They don’t get defensive.

DE SAM LAZARO: It’s far more effective than the approach of many aid groups—religious, government, and private, says Princeton University professor Gerry Mackie.

PROFESSOR GERRY MACKIE: Not hectoring and preaching but having pro and con discussions. When we think of an ideal way of making a change, we’d say it’s democratic. We all get together and talk it over and decide what the best thing is to do. Whereas some development approaches would, say, force them to do it, pay them to do it, trick them into doing it.

DE SAM LAZARO: Tostan’s volunteers and staff who conduct its seminars all hail from the local communities. Often they are leaders and elders speaking from personal experience or anecdotes. Diarre Ba used to make a living as a female circumciser.

DIARRE BA: I was part of this process. I felt bad. This is not right. But I didn’t know anything at the time. I had no learning.

DE SAM LAZARO: Others have painful, vivid memories. Ibrahim Sankare was very close to an older sister growing up. He walked into her room one evening.

IBRAHIM SANKARE: I saw her lying in a pool of blood. I thought someone had really hurt her. I screamed. My father explained to me. Since then, even now I get goosebumps thinking about it.

MARIAM BAMBA: It was very painful. I will never—you ask me if I can forget it? I will never forget the pain. So painful.

DE SAM LAZARO: Marieme Bamba is a long-time campaigner against genital cutting, and she’s spared her ten-year-old daughter the trauma. Yet before she became involved with Tostan and early in her marriage, she was determined to keep up the tradition. Even her own husband was opposed to genital cutting.

SULEYMAN TRAORE: She insisted that she had to do it. There were so many problems if you didn’t do it. If you cooked meals, no one would eat your food. It’s because we didn’t know. People told us that it was our religion. If you don’t do it, you’ll be going against your religion. All this is false. But I alone can’t do this in the village.

DE SAM LAZARO: They say Tostan was able to insure they were not alone—that communities in which they intermarried were also thinking alike, that their daughters would still be marriageable. The large declaration ceremonies have been critical.

MACKIE: One part of bringing about a change like this is to get everyone to change at once, what we call “coordinated abandonment.” Everyone has to see that everyone else sees that everyone is changing.

DE SAM LAZARO: Genital cutting is not the only tradition they want to change. Many communities have vowed to end the frequent practice of allowing older men to marry adolescent girls, acknowledging both the health risks and the girls’ human rights. Molly Melching says there’s plenty of historical precedent for abrupt changes in social norms and attitudes. She sees a very current example every time she comes home. That’s in American views about smoking.

MELCHING: People were smoking, and nobody said anything about it much through the ‘50s, the ‘60s, and even the ‘70s. As people became more and more aware of the harm that it causes, more and more people—there was a critical mass of people who started really protesting. It was amazing for me, coming from Senegal to the United States, to see how quickly things turned around.

DE SAM LAZARO: Tostan’s efforts have now expanded to 14 other African nations.

For Religion & Ethics NewsWeekly, this is Fred de Sam Lazaro in Kaolack, Senegal.

/wnet/religionandethics/files/2011/07/thumb01-femalecircumcision.jpgIt is a painful rite of passage for girls in many African and Middle Eastern countries. But in Senegal there has been a remarkably successful campaign to change people’s attitudes towards female circumcision in an effort to eliminate the practice altogether.

]]>http://www.pbs.org/wnet/religionandethics/2012/06/08/july-15-2011-female-circumcision/9145/feed/9Africa,Education,female circumcision,female genital cutting,Health,Islam,marriage,Molly Melching,public awareness,Senegal,Sexuality,TostanIt is a painful rite of passage for girls in many African and Middle Eastern countries, but in Senegal there has been a remarkably successful campaign to change people's attitudes towards female circumcision in an effort to eliminate the practice altog...It is a painful rite of passage for girls in many African and Middle Eastern countries, but in Senegal there has been a remarkably successful campaign to change people's attitudes towards female circumcision in an effort to eliminate the practice altogether.Religion & Ethics NewsWeeklyno9:27 HIV-AIDS in DChttp://www.pbs.org/wnet/religionandethics/2009/11/20/november-20-2009-hiv-aids-in-dc/5044/
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REV. CHRISTINE WILEY (Covenant Baptist Church): We pray for health, O God, that you would pour your spirit into them and heal their bodies, O God.

LUCKY SEVERSON, correspondent: Reverend Christine Wiley has been ministering to AIDS patients in Washington, DC since the early 1980s. Back then people were dying from a disease they didn’t understand and had no idea how it was spreading. Reverend Wiley first met AIDS patients when she allowed the health clinic across the street to move into her church when the clinic’s roof fell in.

WILEY: What I found was a profound privilege of being able to work with people who had contracted this disease, and being able to talk with them to help them get to a place where they had hope and understood that they were still loved by God.

Rev. Christine Wiley

SEVERSON: Twenty years later, Reverend Wiley is still preaching and teaching about HIV-AIDS, which we now know a lot about. We know that it’s preventable and treatable, and yet it has reached epidemic levels in the nation’s capital. The most recent statistics are sobering. Three percent of local residents have HIV or AIDS—triple the number that is generally considered a “severe” epidemic. But among African-Americans residents, the overall rate is above four percent, which is higher even than parts of West Africa. And among the District’s black men the infection rate is even more alarming—almost seven percent. Authorities are worried that the number is actually higher because so many residents are spreading the virus without knowledge they’re infected. This is Bishop Rainey Cheeks at the Inner Light Ministries Sunday worship service.

BISHOP RAINEY CHEEKS (Inner Light Ministries): We live in a city that has the highest infection rate in the country. We live in Ward 8, and it has the highest infection rate in the city, and here we still operate in a state of ignorance, and the Scripture tell us “my people perish for lack of knowledge.”

SEVERSON: Bishop Cheeks is not your typical preacher. He is openly gay and has been HIV-positive for 25 years.

CHEEKS: People would say, what would Jesus do? And I say stop asking that question. Do what he did. Heal people. Love people. He said feed, clothe, shelter people. That is all HIV is asking us to do.

SEVERSON: The church has long been the most influential institution in the African-American community. But Bishop Cheeks says when it comes to AIDS, too many black pastors have been silent, or preaching when they should have been teaching.

CHEEKS: Throughout our history, the information has always been disseminated through the church. Imagine if all the churches on Sunday morning gave just the facts and where they could go get help. How many people would we reach?

Bishop Rainey Cheeks

WILEY (preaching): Have you ever felt persecuted just for living, just for being who you are?

SEVERSON: At the Covenant Baptist Church, Rev. Wiley, who has a doctorate in pastoral psychotherapy, tells her members who have the disease that they are not sinners, that God loves them, and she explains ways to safeguard against the virus to anyone who will listen. Some think the epidemic has passed and don’t want to listen. Some don’t want to know. That’s why Rev. Wiley offers weekly AIDS testing like this, right in church. She says she discovered that many African Americans do not view the black church as a safe place to get counseling about AIDS.

WILEY: There is such a heavy stigma. Then often it’s not talked about. And, of course, within the context of the church one of the things that is difficult is interpretation of Scripture. Many persons within the black church, generally speaking, are very conservative. We find that the issue of sex is not talked about at all in many, many churches, and so if you don’t talk about sex it’s difficult to even talk about risky behavior.

SEVERSON: Bishop Harry Jackson’s Hope Christian Church is typical of many black churches, if not most. Many members here consider drug abuse, premarital sex, and homosexual activity as sins.

BISHOP HARRY JACKSON (Hope Christian Church): Black clergy typically are very conservative socially, and they are much more liberal in terms of other issues. But the heart of the black church is the preaching, and the preaching has to be from the Bible, and that biblical message has been the source of the conservatism of the church, and it’s also the strength.

JACKSON (speaking at rally): And I would rather be biblically courageous than politically correct.

SEVERSON: Bishop Jackson has been a leading spokesman in the District in favor of marriage only between a man and a woman. He agrees that black pastors have not done enough, but sees the problem more as the breakup of the black family.

JACKSON: We haven’t done the preventative work that puts it in the mind of a young teenage girl or boy, hey, you shouldn’t have sex this early. You’re having all the babies out of wedlock, all these things, and I’ve got to take responsibility for it. The only institution that stands between our community and what I’m going to call basically the destruction of family as we know it today is the church.

WILEY: We’ve got to talk about drug addiction. We’ve got to talk about sex. We’ve got to talk about relationships, because women who are heterosexual and have relationships are also having relationships with men who sleep with men.

SEVERSON: Nationwide, the leading cause of HIV-AIDS is still men having sex with men. But here in the District the principal mode of transmission for new cases is heterosexual for both men and women, and 70 percent of those infected are over 40 years old.

CHEEKS: We put condoms out right here in the church on Sunday. You can walk and pick them up right here, and people go, isn’t that a little extreme? Well, what do you call extreme? Saving someone’s life?

SEVERSON: Bishop Jackson remains skeptical about the reliability of condoms and is firmly convinced that abstinence only is the best policy. He blames much of the problem on immoral behavior and the prevailing culture.

JACKSON: The moral message is not being grasped. The culture is shaping much more what happens in the black church. If I say it this way, in all deference to our stars, Beyonce may be listened to more than the bishop.

SEVERSON: And the bishop has no intention of bending his message about the sin of premarital and homosexual sex, although he doesn’t oppose testing and wants his church to do more to help those who are infected.

WILEY: Even with a person who is a conservative we still have to acknowledge that there is a disease in our community, and it has not gotten better. It has gotten worse.

JACKSON: It may be that we’re going to reach people that trust us and trust our interpretation of Scriptures. But if you don’t believe the Gospel as we believe it, maybe you will not feel comfortable coming to us for help, and maybe that’s where someone else has to work, and my point would be we at least need to touch the people we can touch, and I’m not so sure we’re touching them yet.

SEVERSON: On that point they would all agree.

CHEEKS: I’m more concerned with how do we save our community more than I need to be right or any of that. How do we save our community? And then we can have all the other theological debates later on. But right now, we are in trouble.

/wnet/religionandethics/files/2009/11/thumb_hivdc.jpg“How do we save our community?” asks Bishop Rainey Cheeks of Inner Light Ministries in Washington, DC. “We can have all the other theological debates later on, but right now we are in trouble.”

]]>http://www.pbs.org/wnet/religionandethics/2009/11/20/november-20-2009-hiv-aids-in-dc/5044/feed/2African-American,Bishop Harry Jackson,Bishop Rainey Cheeks,Black Church,Christine Wiley,epidemic,HIV/AIDS,prevention,public awareness,Washington DC"How do we save our community?" asks Bishop Rainey Cheeks of Inner Light Ministries in Washington, DC. "We can have all the other theological debates later on, but right now we are in trouble.""How do we save our community?" asks Bishop Rainey Cheeks of Inner Light Ministries in Washington, DC. "We can have all the other theological debates later on, but right now we are in trouble."Religion & Ethics NewsWeeklyno8:06 HIV Ministryhttp://www.pbs.org/wnet/religionandethics/2007/10/19/october-19-2007-hiv-ministry/4447/
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]]>Evangelical churches, both black and white, have long been accused of not doing enough to promote HIV/AIDS testing and awareness in their congregations. But Kathi Winter is one evangelical trying to change that. It’s a very personal crusade for her – she’s HIV positive.
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